Dr. Blanca A Tan, MD
Pediatrics in Jersey, New Jersey
1336224203- Practice location
- 3342 Kennedy Blvd., Jersey, NJ 07307-4233
- Phone
- 201-653-8999
- Fax
- 201-653-4477
- Last updated
- July 8, 2007
Blanca A Tan is a Pediatrics based in Jersey, NJ. Blanca A Tan practices in Jersey, NJ and has the professional credentials of MD. The NPI Number for Blanca A Tan is 1336224203 and holds a License No. 25MA03544400 (NJ). The current practice location address for Blanca A Tan is 3342 Kennedy Blvd., Jersey, NJ 07307-4233 and can be reached out via phone at 201-653-8999 and via fax at 201-653-4477.
Provider Profile Details
- NPI Number
- 1336224203
- Provider Name
- Blanca A Tan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3342 Kennedy Blvd., Jersey, NJ 07307-4233
- Phone Number
- 201-653-8999
- Fax Number
- 201-653-4477
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 26, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3342 Kennedy Blvd.
Jersey, NJ 07307-4233 - City
- Jersey
- State
- New Jersey
- Zip
- 07307-4233
- Phone Number
- 201-653-8999
- Fax Number
- 201-653-4477
Provider Business Mailing Address Details
- Address
- 120 Jockey Hollow Way
Union, NJ 07083-4157 - City
- Union
- State
- NJ
- Zip
- 07083-4157
- Phone Number
- 908-687-3725
- Fax Number
- 908-686-5258
License Information
- License Number
- 25MA03544400
- License State
- NJ
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Blanca A Tan, MD?
The NPI number of Dr. Blanca A Tan, MD is 1336224203. It was assigned on October 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Blanca A Tan, MD?
Dr. Blanca A Tan, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA03544400.
Where does Dr. Blanca A Tan, MD practice?
The practice location is 3342 Kennedy Blvd., Jersey, NJ 07307-4233. The office can be reached at 201-653-8999 (phone) or 201-653-4477 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336224203 directly on the NPPES registry website.